Individual
BROOKE JACKSON GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1818 REMANT RD, HANAHAN, SC 29410
(843) 410-5608
Mailing address
1038 SALTWATER CIRCLE, JOHNS ISLAND, SC 29455
(864) 790-0500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LRD.1256
SC
363A00000X
Physician Assistant
Primary
3074
SC
Other
Enumeration date
05/13/2015
Last updated
08/19/2024
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